The incidence of anastomotic leaks in patients undergoing colorectal surgery

Abstract

Within this surgical unit, the incidence of leaks from intraabdominal anastomoses was relatively low. However, leaks in patients undergoing extraperitoneal anastomoses continue to be a major cause of morbidity and mortality.

Analysis of Risk Factors and Management of Anastomotic Leakage After Rectal Cancer Surgery: An Indian Series

“…The incidence of anastomotic leakage after surgery for rectal cancer ranges between 1.8 and 19.8 % [2,3]; however, these rates vary according to the definition used. Higher rates are reported whenever anastomotic leakage is detected by radiology (CT, or gastrografin enema).…”

“…Development of the anastomotic leakage is the most feared complication after rectal cancer surgery with incidence in the published literature ranging from 1.8 to 19.8 % [2,3]. Anastomotic leakage leads to significant morbidity to the patient with impact on oncological, clinical, and functional outcomes.…”

Cirurgias colorretais no Hospital Universitário da Universidade Federal de Sergipe: três anos da criação do Serviço de Coloproctologia (série histórica)

“…Foram confeccionadas anastomoses manuais e mecânicas no serviço. Entretanto, as anastomoses realizadas com grampeadores apresentaram maior deiscência (26,1 %) quando comparadas às manuais (3,1 %), discordando de outras experiências (15,16) .…”

Anastomotic dehiscence after colorectal surgery

“…In conditions where there is significant serious local sepsis such as perforated diverticulum, perforated colorectal cancer or colorectal trauma it is preferable to defer primary anastomosis. [10][11][12] Healing of anastomosis in a septic environment is extremely inadequate and is associated with a high incidence of anastomotic dehiscence. Such cases necessitate proximal diversion in the form of Hartman's procedure.…”